Volume 201 - Issue 2
Dysphagia, regurgitation and weight loss in an elderly man
Authors: Laura Lamprell and David Wright
Med J Aust 2014; 201 (2): 114. || doi: 10.5694/mja14.00269
Published online: 21 July 2014
Published online: 21 July 2014
Zenker diverticuli are rare, but cause significant morbidity and mortality
An 84-year-old man reported unintentional weight loss of 15 kg over 18 months and dysphagia and regurgitation of undigested food over 3 months. Barium swallow showed a large pharyngo-oesophageal (Zenker) diverticulum. These are caused by elevated intraluminal pressure at the Killian dehiscence, an area of hypopharyngeal weakness between the cricopharyngeus and inferior pharyngeal constrictors.
Zenker diverticula are rare, but can cause significant morbidity and mortality. A barium swallow should precede gastroscopy, as there is a risk of perforation and mediastinitis. We performed endoscopic stapling, as it is less invasive than open repair.
Watchful Waiting Compared With Immediate Antibiotics for Urban Aboriginal and Torres Strait Islander Children With Uncomplicated Acute Otitis Media (WATCH): A Non-Inferiority Randomised Controlled Trial
Jennifer S. Reath, Hasantha Gunasekera, Sanja Lujic, Amanda J. Leach, Letitia Campbell, Robyn Walsh, Tim Usherwood, Geoffrey K. Spurling, Claudette A. Tyson, Deborah A. Askew, Kelvin Kong, Chelsea J. Watego, Peter Morris, Wendy Hu, Penelope A. Abbott
Climate and environmental crisis: effects on ear and hearing health in Australia and for Aboriginal and Torres Strait Islander peoples
Georgia M Tongs (Wiradjuri), Isabella Ludbrook, Jennifer H Martin, Robert Eisenberg, Kelvin M Kong (Worimi)
The New South Wales Pharmacy Trial for herpes zoster: on the nose?
Christian P Pappas, Timothy R Holmes, Minas T Coroneo
Antibiotics or watchful waiting for acute otitis media in urban Aboriginal and Torres Strait Islander children?
Valerie M Swift, Christopher G Brennan‐Jones
The views of parents and carers on managing acute otitis media in urban Aboriginal and Torres Strait Islander children: a qualitative study
Jennifer S Reath, Sarah O'Brien, Letitia Campbell, Hasantha Gunasekera, Claudette A Tyson, Deborah A Askew, Wendy Hu, Tim Usherwood, Kelvin Kong, Peter Morris, Amanda J Leach, Robyn Walsh, Penelope A Abbott
Routine ear health and hearing checks for Aboriginal and Torres Strait Islander children aged under 6 years attending primary care: a national consensus statement
Samantha Harkus, Vivienne Marnane, Isabel O'Keeffe, Carmen Kung, Meagan Ward, Neil Orr, John Skinner, Kelvin Kong, Lose Fonua, Michelle Kennedy, Mary Belfrage